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12/22/2004 18:07 FAX 14024714429 NEBRASKA UCC 1002/008 <br />1 20041229E <br />- - * - - <br />1872 Departmen 9tirbasury - Internal Revenue Service <br />Form 668 (Z) Certificate of Release of Federal Tax Lien <br />(Rev. 10 -2000) <br />Area: <br />Serial Number' <br />For Use by Recording Office <br />_ <br />SMALL BUSINESS /SELF EMPLOYED AREA #9 <br />Lien Unit Phone: (651) 312 -8080 <br />399830119 <br />s <br />"E .e of s..t8 ucc <br />-. ros <br />I certify that the following -named taxpayer, under the requirements of section 6325 (a) <br />of the Internal Revenue Code has satisfied the taxes listed below and all statutory <br />j <br />additions. Therefore, the lien provided by Code section 6321 for these taxes and <br />additions has been released. The proper officer in the office where the notice of <br />internal revenue tax lien was filed on December 17 <br />1998 , is authorized to note the books to show the release of this lien for <br />8904365935 -7 Pas: <br />SCHROEDER CAROL A <br />these taxes and additions. <br />Filed: 12/20/2004 02:49 PM <br />Name of Taxpayer <br />CAROL A SCHROEDER <br />Residence4056 ZOLA LN <br />GRAND ISLAND, NE 68803 <br />COURT RECORDING INEORNi7�TI ON: <br />Liber Page UCC No. Serial No -. <br />n/a n/a n/a 98- 11248 7 r <br />Tax Period <br />Date -of­­­ <br />"" Last Day for <br />unpaid Balance <br />Kind of Tax <br />Ending <br />Identifying Number <br />Assessment <br />Refil'rng <br />of Assessment <br />(a) <br />(b) <br />(c) <br />(d) <br />(e) <br />(f) <br />6672 <br />03/31/1997 <br />505 -52 -7382 <br />09/21/1998 <br />10/21/2008 <br />12833.90 <br />Place of Filing <br />Register of Deeds . <br />Hall POBOX 1692 Total <br />$ 12833.90 <br />Grand Island, NE 68802 -1692 <br />This notice was prepared and signed at <br />the 15th day of December 2004 <br />Omaha, NE <br />on this, <br />Signature Title Director, Payment Compliance <br />i <br />(NOTE: Certificate of officer authorized by law to take acknowledgments is not essential to the validity of Certificate of Release of <br />Federal Tax lien Rev. Rul. 71 -466, 1971 - 2 C.B. 409) Form 668 (Z) (Rev. 10 -2000) <br />Part 1 - RECORDING OFFICE CAT. NO 600261 <br />